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1.
Vestn Otorinolaringol ; 89(2): 15-20, 2024.
Artículo en Ruso | MEDLINE | ID: mdl-38805458

RESUMEN

OBJECTIVE: Optimization of the method of puncture treatment of acute bacterial maxillary sinusitis (ABMS) through the development of original devices for drainage of the maxillary sinus (MS). MATERIAL AND METHODS: Registration and comparative analysis of the results of puncture methods of treatment of 120 patients with ABMS using developed new original devices for drainage of MS with one channels and with two channels in comparison with the Kulikovsky's needle (KN) was carried out. Based on the results of the analysis, the effectiveness of the original devices was assessed. During the clinical study, patients were divided into two groups: in group I, patients underwent of the MS puncture using KN, in group II, using original devices. Groups I and II, depending on the absence or presence of a block of the natural anastomosis MS, was divided into subgroups A and B, respectively. After puncture of the MS, the pain syndrome was assessed by patients using Visual Analogue Scale (VAS) and by doctors - using Touch Visual Pain (TVP) scale. RESULTS: Our study showed that when puncturing the upper jaw with an original needle with one channels and with two channels, compared with the use of KN, there is a decrease in pain (the average VAS score was 1.5±0.3 and 1.7±0.3 points, respectively; the average TVP scale score was 0.9±0.2 and 1.8±0.3 points, respectively, the difference is significant, p≤0.05). Patients of subgroup IB were manipulated with two KN, patients of subgroup IIB manipulated using the original device with two channels without an additional needle (the average VAS score was 3.0±0.4 and 1.3±0.3 points, respectively; the average TVP scale score was 2.7±0.4 and 1.0±0.2 points, respectively, the difference is significant, p≤0.05). The doctors also assessed the devices used for puncture of the upper jaw. As a result of the study, the high efficiency and safety of using new original devices was established.


Asunto(s)
Sinusitis Maxilar , Punciones , Humanos , Sinusitis Maxilar/microbiología , Sinusitis Maxilar/terapia , Sinusitis Maxilar/diagnóstico , Femenino , Masculino , Adulto , Punciones/métodos , Punciones/instrumentación , Persona de Mediana Edad , Resultado del Tratamiento , Drenaje/métodos , Drenaje/instrumentación , Dimensión del Dolor/métodos , Seno Maxilar/microbiología , Seno Maxilar/cirugía , Enfermedad Aguda , Infecciones Bacterianas/terapia , Infecciones Bacterianas/diagnóstico
2.
Vestn Otorinolaringol ; 88(5): 41-48, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37970769

RESUMEN

According to the statistical forms medical and preventive treatment centres (MPTC), the analysis of dynamic indicators of the treatment of patients with acute sinusitis (AS) in outpatient polyclinic centers (OPC) and ENT hospitals in Moscow for the period from 2017 to 2021 was carried out. The total number of visits to an otorhinolaryngologist in the OPC in Moscow for 2017-2021 amounted to 6 834 952 patients, including 245 172 patients with AS (3.6%).The total number of hospitalizations in the departments of otorhinolaryngology for the same period amounted to 184 735 patients, including 12 906 patients with AS (7%).The number of patients with AS who was consulted by an otorhinolaryngologist from 2017 to 2021 decreased by 18.2%, which can be explained by a change in the routing of patients with mild form of AS to general practitioners. An analysis of the dynamic indicators of maxillary sinus punctures carried out in the medical and preventive treatment centres (MPTC) in Moscow during the period from 2017 to 2021 showed that there was a redistribution of this manipulation from ENT hospitals to the OPC. At the same time, the proportion of patients requiring puncture treatment in the OPC for 2017-2019 was stable and amounted to 9.3%. However, since 2020, there has been an increase in this indicator by more than 2 times (21.7%), which probably indicates an increase in the treatment of patients with moderate forms of AS in the OPC. The frequency of maxillary sinus punctures that were performed in ENT hospitals in 2017-2019 amounted to 83.5%, in 2020-2021 decreased to 63.4%. The average number of maxillary sinus punctures per patient in ENT hospitals from 2017 to 2019 was 13.3. Since 2020, this value has decreased by about 2 times and has become equal to 8.5. The decrease in the number of maxillary sinus punctures that were performed in ENT hospitals is probably due to the fact that patients with severe and complicated forms of acute sinusitis hospitalized from 2020 to 2021 required more radical surgical treatment.


Asunto(s)
Sinusitis Maxilar , Sinusitis , Humanos , Sinusitis Maxilar/diagnóstico , Sinusitis Maxilar/epidemiología , Sinusitis Maxilar/terapia , Moscú/epidemiología , Seno Maxilar/cirugía , Sinusitis/cirugía , Punciones/efectos adversos , Atención a la Salud
3.
Vestn Otorinolaringol ; 86(4): 67-72, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-34499451

RESUMEN

Epistaxis or nosebleeds (NB) are the most common emergency pathology that otorhinolaryngologists have to deal with. Purpose of the work: to study the prevalence of patients with NB in the otorhinolaryngological departments of hospitals in Moscow from 2003 to 2019. The reports of the heads of the ENT departments of the city clinical hospitals in Moscow were studied. Inclusion criteria were hospitals working with an adult contingent of patients. An approximation analysis was carried out and trend indicators of the prevalence of NB were studied. RESULTS: 2003 to 2019 the total number of patients treated in ENT hospitals was 563 189 people, 20 623 (3.7%) patients were treated with NB, of which 52 (0.25%) died. The average age of the deceased was 64.7 years, men are 73.7% more prevalent than women. In 96.2% of patients, epistaxis was a complication of the underlying disease, and in 3.8%, it was regarded as a concomitant condition. In 30.8% of the deceased, NB recurred with the background of malignant lesions of the nose and nasopharynx, in 69.2% - posthemorrhagic anemia aggravated diseases of other organs and systems. Over the past 17 years, there has been a tendency for the growth of treated patients with diseases of ENT organs and patients with nosebleeds by 58.5% and 51.1%, respectively. The studied approximation of the relative prevalence and mortality rates in patients with NB showed that for the period from 2003 to 2019. trend values are practically at the same level with the minimum multidirectional linear dynamics - -0.24% and +0.04%, respectively.


Asunto(s)
Epistaxis , Nariz , Adulto , Epistaxis/diagnóstico , Epistaxis/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Moscú/epidemiología , Recurrencia
4.
BMC Med ; 19(1): 174, 2021 08 03.
Artículo en Inglés | MEDLINE | ID: mdl-34340708

RESUMEN

BACKGROUND: The risk for several common cancers is influenced by the transcriptomic landscape of the respective tissue-of-origin. Vitamin D influences in vitro gene expression and cancer cell growth. We sought to determine whether oral vitamin D induces beneficial gene expression effects in human rectal epithelium and identify biomarkers of response. METHODS: Blood and rectal mucosa was sampled from 191 human subjects and mucosa gene expression (HT12) correlated with plasma vitamin D (25-OHD) to identify differentially expressed genes. Fifty subjects were then administered 3200IU/day oral vitamin D3 and matched blood/mucosa resampled after 12 weeks. Transcriptomic changes (HT12/RNAseq) after supplementation were tested against the prioritised genes for gene-set and GO-process enrichment. To identify blood biomarkers of mucosal response, we derived receiver-operator curves and C-statistic (AUC) and tested biomarker reproducibility in an independent Supplementation Trial (BEST-D). RESULTS: Six hundred twenty-nine genes were associated with 25-OHD level (P < 0.01), highlighting 453 GO-term processes (FDR<0.05). In the whole intervention cohort, vitamin D supplementation enriched the prioritised mucosal gene-set (upregulated gene-set P < 1.0E-07; downregulated gene-set P < 2.6E-05) and corresponding GO terms (P = 2.90E-02), highlighting gene expression patterns consistent with anti-tumour effects. However, only 9 individual participants (18%) showed a significant response (NM gene-set enrichment P < 0.001) to supplementation. Expression changes in HIPK2 and PPP1CC expression served as blood biomarkers of mucosal transcriptomic response (AUC=0.84 [95%CI 0.66-1.00]) and replicated in BEST-D trial subjects (HIPK2 AUC=0.83 [95%CI 0.77-0.89]; PPP1CC AUC=0.91 [95%CI 0.86-0.95]). CONCLUSIONS: Higher plasma 25-OHD correlates with rectal mucosa gene expression patterns consistent with anti-tumour effects, and this beneficial signature is induced by short-term vitamin D supplementation. Heterogenous gene expression responses to vitamin D may limit the ability of randomised trials to identify beneficial effects of supplementation on CRC risk. However, in the current study blood expression changes in HIPK2 and PPP1CC identify those participants with significant anti-tumour transcriptomic responses to supplementation in the rectum. These data provide compelling rationale for a trial of vitamin D and CRC prevention using easily assayed blood gene expression signatures as intermediate biomarkers of response.


Asunto(s)
Transcriptoma , Vitamina D , Proteínas Portadoras , Colecalciferol , Suplementos Dietéticos , Humanos , Membrana Mucosa , Proteínas Serina-Treonina Quinasas , Recto , Reproducibilidad de los Resultados
5.
Vestn Otorinolaringol ; 85(4): 70-76, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32885641

RESUMEN

The spread of the pandemic of the new coronavirus infection COVID-19 inevitably makes adjustments to the medical care. Given that the main route of transmission is airborne, otorhinolaryngologists are at increased risk of infection. Based on the literature data of leading otorhinolaryngologists, as well as their own experience working with patients with the new coronavirus infection COVID-19, the authors present relevant recommendations on the organization of specialized otorhinolaryngological care in the context of the COVID-19 pandemic. The authors consider the etiology, pathogenesis, and clinical manifestations of COVID-19. The features of the examination of ENT, diagnostic and therapeutic procedures, including the use of silicone hydrotamps to stop the front and rear nose bleeds, developed in L.I. Sverzhevskiy OHRIM, and indications for hospitalization in the ENT hospital. Features of operations on the otorhinolaryngological profile during a COVID pandemic are also described. Summing up, the authors indicate that during the pandemic of the new coronavirus infection COVID-19, otorhinolaryngologists need to adhere to two fundamental principles aimed at preventing the spread of infection: the use of modern effective personal protective equipment and the use of examination methods (surgical treatment methods) that prevent the formation of biological aerosols.


Asunto(s)
Infecciones por Coronavirus , Coronavirus , Pandemias , Neumonía Viral , Betacoronavirus , COVID-19 , Humanos , SARS-CoV-2
6.
Gut ; 69(1): 103-111, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31023832

RESUMEN

OBJECTIVE: We assessed the effect of surgical resection of colorectal cancer (CRC) on perioperative plasma vitamin D (25OHD) and C-reactive protein (CRP) level. We investigated the relationship between circulating vitamin D level and CRC survival. DESIGN: We sequentially sampled 92 patients undergoing CRC resection, and measured plasma 25OHD and CRP. For survival analyses, we assayed 25OHD and CRP in two temporally distinct CRC patient cohorts (n=2006, n=2100) and investigated the association between survival outcome, circulating vitamin D and systemic inflammatory response. RESULTS: Serial sampling revealed a postoperative fall (mean 17.3 nmol/L; p=3.6e-9) in plasma 25OHD (nadir days 1-2). CRP peaked 3-5 days postoperatively (143.1 mg/L; p=1.4e-12), yet the postoperative fall in 25OHD was independent of CRP. In cohort analyses, 25OHD was lower in the 12 months following operation (mean=48.8 nmol/L) than preoperatively (54.8 nmol/L; p=1.2e-5) recovering after 24 months (52.2 nmol/L; p=0.002). Survival analysis in American Joint Committee on Cancer stages I-III demonstrated associations between 25OHD tertile and CRC mortality (HR=0.69; 95% CI 0.46 to 0.91) and all-cause mortality (HR=0.68; 95% CI 0.50 to 0.85), and was independent of CRP. We observed interaction effects between plasma 25OHD and rs11568820 genotype (functional VDR polymorphism) with a strong protective effect of higher 25OHD only in patients with GG genotype (HR=0.51; 95% CI 0.21 to 0.81). We developed an online tool for predicted survival (https://apps.igmm.ed.ac.uk/mortalityCalculator/) that incorporates 25OHD with clinically useful predictive performance (area under the curve 0.77). CONCLUSIONS: CRC surgery induces a fall in circulating 25OHD. Plasma 25OHD level is a prognostic biomarker with low 25OHD associated with poorer survival, particularly in those with rs11568820 GG genotype. A randomised trial of vitamin D supplementation after CRC surgery has compelling rationale.


Asunto(s)
Biomarcadores de Tumor/sangre , Neoplasias Colorrectales/cirugía , Vitamina D/análogos & derivados , Anciano , Proteína C-Reactiva/metabolismo , Estudios de Casos y Controles , Neoplasias Colorrectales/sangre , Neoplasias Colorrectales/genética , Femenino , Estudios de Seguimiento , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Polimorfismo de Nucleótido Simple , Pronóstico , Receptores de Calcitriol/genética , Análisis de Supervivencia , Síndrome de Respuesta Inflamatoria Sistémica/sangre , Vitamina D/sangre
7.
Vestn Otorinolaringol ; 84(1): 18-24, 2019.
Artículo en Ruso | MEDLINE | ID: mdl-30938336

RESUMEN

The aim of the study was to assess age-related changes of the transient evoked otoacoustic emissions (TEOAE) and distortion product otoacoustic emissions (DPOAE) as well as to evaluate age-related changes of DPOAE suppression in adult subjects with normal hearing and presbycusis. Only women participated in the study: 26 young women with normal hearing (20-31 years old) were included into the first group; the second group consisted of 28 elderly (60-74 years old) with normal hearing; the third group included 28 elderly women with presbycusis (mild-to-moderate hearing loss). Age-related decrease of prevalence and amplitude of OAEs was proved to be significant; no significant differences of these data for left and right ears were revealed. Contralateral suppression of DPOAE was noted more often and was the greatest in young listeners and was presented in all frequency range, meanwhile the suppression was minimal and rarely noted in patients with presbycusis. The DPOAE amplitude enhancement in the contralateral noise condition was recorded in all groups of listeners, more often in aged patients both with normal hearing and hearing loss. These results may indicate age-related changes of medial olivocochlear complex, which take place not only in patients with hearing loss but in normal hearing subjects as well.. The findings were confirmed by the results of acoustic reflex measurements obtained in this study.


Asunto(s)
Sordera , Emisiones Otoacústicas Espontáneas , Adulto , Anciano , Cóclea , Sordera/diagnóstico , Femenino , Pruebas Auditivas , Humanos , Persona de Mediana Edad , Ruido , Reflejo Acústico , Adulto Joven
8.
J Thromb Haemost ; 17(1): 52-62, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30362288

RESUMEN

Essentials Recombinant von Willebrand factor (rVWF) is effective in von Willebrand disease (VWD). A phase 3 study of rVWF, with/without recombinant factor VIII (rFVIII) before surgery in VWD. Overall rVWF's efficacy was rated excellent/good; rVWF was administered alone in most patients. rVWF was well-tolerated and hemostasis was achieved in patients with severe VWD undergoing surgery. SUMMARY: Background Recombinant von Willebrand factor (rVWF) has demonstrated efficacy for on-demand treatment of bleeding in severe von Willebrand disease (VWD), warranting evaluation in the surgical setting. Objectives This study (NCT02283268) evaluated the hemostatic efficacy/safety profile of rVWF, with/without recombinant factor VIII (rFVIII), in patients with severe VWD undergoing surgery. Patients/Methods Patients received rVWF 40-60 IU kg-1 , VWF ristocetin cofactor activity was measured 12-24 h before surgery. If endogenous FVIII activity (FVIII:C) target levels were achieved 3 h before surgery, rVWF was administered alone 1 h before surgery; rVWF was co-administered with rFVIII if target endogenous FVIII levels were not achieved. rVWF was infused postoperatively to maintain target trough levels. Overall and intraoperative hemostatic efficacy, the pharmacodynamics of rVWF administration and the incidence of adverse events (AEs) were assessed. Results All patients treated with rVWF for major (n = 10), minor (n = 4) and oral (n = 1) surgery had overall and intraoperative hemostatic efficacy ratings of excellent (73.3% and 86.7%) or good (26.7% and 13.3%). Most rVWF infusions (89.4%) were administered alone, resulting in hemostatically effective levels of endogenous FVIII within 6 h, which were sustained for 72-96 h; 70% (n = 7/10) of major surgeries were performed without rFVIII co-administration. Six patients reported 12 treatment-emergent AEs. Two patients each had one serious AE: diverticulitis (not treatment related) and deep vein thrombosis (sponsor-assessed as possibly treatment related). No severe allergic reactions or inhibitory antibodies were reported. Conclusions These data support the efficacy and safety profile of rVWF in patients with severe VWD undergoing elective surgery.


Asunto(s)
Pérdida de Sangre Quirúrgica/prevención & control , Coagulantes/administración & dosificación , Procedimientos Quirúrgicos Electivos , Hemostasis/efectos de los fármacos , Enfermedades de von Willebrand/tratamiento farmacológico , Factor de von Willebrand/administración & dosificación , Adulto , Anciano , Coagulantes/efectos adversos , Coagulantes/farmacocinética , Procedimientos Quirúrgicos Electivos/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Proteínas Recombinantes/administración & dosificación , Índice de Severidad de la Enfermedad , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven , Enfermedades de von Willebrand/sangre , Enfermedades de von Willebrand/complicaciones , Enfermedades de von Willebrand/diagnóstico , Factor de von Willebrand/efectos adversos , Factor de von Willebrand/farmacocinética
9.
Patol Fiziol Eksp Ter ; 60(3): 31-5, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29244466

RESUMEN

The comparative analysis of surfactant metabolism and water balance of the lungs in modeling the formation and neurodegeneration focus of pathological activity in the substantia nigra of the brain. Methods: Experiments were performed on male rats - nonlinear, including the control, sham operated with unilateral stereotaxic administration of the neurotoxin 6-hydroxydopamine (Sigma) in the substantia nigra compact part and the implantation of cobalt metal nanopowder (Berlin) in the reticular part of the structure. Complex investigations included determination of surfactant phospholipid fractions by thin layer chromatography, total phospholipids and cholesterol in the bronchoalveolar lavage and surface-active properties by the Wilhelmy method, phospholipase activity, lipid peroxidation intensity on the content of TBA-active products in the lung tissue, evaluation of water balance using the gravimetric method. Results: It has been established that the introduction of intranigral neurotoxin and implantation of cobalt in the structure of the brain called the deterioration of the surface activity of the alveolar lining set against the backdrop of an imbalance of fractional composition of surfactant lipids with multidirectional changes in the amount of phospholipids and the degree of hydration of the lung. Induction focus of pathological activity in the substantia nigra was accompanied by an increase in alveolar phospholipids by lysophosphatidylcholine, sphingomyelin, phosphatidylethanolamine, intensification of lipid peroxidation of the lung tissue and organ hyperhydration. Modeling neurodegeneration - reduction of total phospholipids, phosphatidylcholine and lysophosphatidylcholine accumulation in terms of activation of phospholipase hydrolysis, increasing blood supply to the lungs. Conclusion: Metabolism of surfactant lipids and water balance in the lung, along with changes of rhythmogenesis and mode of ventilation, may lead to the development of disregulation of pneumopathy with dysfunction of the substantia nigra of the brain.


Asunto(s)
Pulmón/metabolismo , Enfermedades Neurodegenerativas/metabolismo , Surfactantes Pulmonares/metabolismo , Sustancia Negra/metabolismo , Equilibrio Hidroelectrolítico , Animales , Modelos Animales de Enfermedad , Pulmón/patología , Masculino , Enfermedades Neurodegenerativas/patología , Ratas , Sustancia Negra/patología
10.
Ross Fiziol Zh Im I M Sechenova ; 101(6): 721-30, 2015 Jun.
Artículo en Ruso | MEDLINE | ID: mdl-26470491

RESUMEN

The study presents a comprehensive of the metabolism and the fractional composition of li- pids surfactant, water balance, hemostatic activity of the lungs in neyrodegeneration substantia nigra of the brain induced by stereotaxic microinjection of 6--hydroxydopamine and systemic administration of haloperidol. It is shown that a breach of dopaminergic neurotransmission leads to deterioration of surface-active properties of the alveolar lining of the complex against a decrea- se of phospholipids, cholesterol, phosphatidylcholine and lysophospholipids enhance the pulmo- nary surfactant in the activation of phospholipase hydrolysis and lipid peroxidation. Intranigral introduction neurotoxin accompanied by increased blood supply to the lungs and the blood coagu- lation potential of the pulmonary circulation, the blockade D2-receptors--hyporhydration lung tissue. The results obtained indicate the formation of dysregulation pneumopathy dysfunction nigrostriatal dopaminergic system.


Asunto(s)
Antagonistas de Dopamina/efectos adversos , Haloperidol/efectos adversos , Hidroxidopaminas/efectos adversos , Pulmón , Sustancia Negra , Equilibrio Hidroelectrolítico/efectos de los fármacos , Animales , Antagonistas de Dopamina/farmacología , Haloperidol/farmacología , Hidroxidopaminas/farmacología , Pulmón/metabolismo , Pulmón/patología , Pulmón/fisiopatología , Masculino , Ratas , Sustancia Negra/metabolismo , Sustancia Negra/patología , Sustancia Negra/fisiopatología , Transmisión Sináptica/efectos de los fármacos
11.
Ross Fiziol Zh Im I M Sechenova ; 100(1): 86-95, 2014 Jan.
Artículo en Ruso | MEDLINE | ID: mdl-25464724

RESUMEN

The study presents a comprehensive assessment of the integration of metabolic functions of the lungs when the focus of pathologic activity forms in the substantia nigra and when GABA is introduced into the central nucleus of the amygdala and into the giant cell reticular nucleus of the medulla oblongata. The experimental studies were conducted on laboratory rats. It was established that GABAergic mediation of efferent nigral influences contributes to the optimization of the surface-active properties of surfactant lipids and to the restoration of the blood supply and fluid balance in the lungs which were modified modelling the dysfunction of the substantia nigra and preserving the endothelial dysfunction in the pulmonary circulation.


Asunto(s)
Amígdala del Cerebelo/efectos de los fármacos , Pulmón/efectos de los fármacos , Bulbo Raquídeo/efectos de los fármacos , Surfactantes Pulmonares/metabolismo , Sustancia Negra/efectos de los fármacos , Ácido gamma-Aminobutírico/metabolismo , Amígdala del Cerebelo/fisiología , Animales , Coagulación Sanguínea/efectos de los fármacos , Líquido del Lavado Bronquioalveolar/química , Metabolismo de los Lípidos/efectos de los fármacos , Pulmón/irrigación sanguínea , Pulmón/fisiología , Masculino , Bulbo Raquídeo/fisiología , Circulación Pulmonar/efectos de los fármacos , Ratas , Sustancia Negra/fisiología , Equilibrio Hidroelectrolítico/efectos de los fármacos , Ácido gamma-Aminobutírico/administración & dosificación
12.
Nat Commun ; 5: 3856, 2014 Jun 12.
Artículo en Inglés | MEDLINE | ID: mdl-24920014

RESUMEN

Recent genome-wide association studies (GWAS) of Hodgkin lymphoma (HL) have identified associations with genetic variation at both HLA and non-HLA loci; however, much of heritable HL susceptibility remains unexplained. Here we perform a meta-analysis of three HL GWAS totaling 1,816 cases and 7,877 controls followed by replication in an independent set of 1,281 cases and 3,218 controls to find novel risk loci. We identify a novel variant at 19p13.3 associated with HL (rs1860661; odds ratio (OR)=0.81, 95% confidence interval (95% CI) = 0.76-0.86, P(combined) = 3.5 × 10(-10)), located in intron 2 of TCF3 (also known as E2A), a regulator of B- and T-cell lineage commitment known to be involved in HL pathogenesis. This meta-analysis also notes associations between previously published loci at 2p16, 5q31, 6p31, 8q24 and 10p14 and HL subtypes. We conclude that our data suggest a link between the 19p13.3 locus, including TCF3, and HL risk.


Asunto(s)
Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/genética , Cromosomas Humanos Par 19/genética , Predisposición Genética a la Enfermedad , Enfermedad de Hodgkin/genética , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Variación Genética , Estudio de Asociación del Genoma Completo , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
13.
Vestn Otorinolaringol ; (1): 44-8, 2014.
Artículo en Ruso | MEDLINE | ID: mdl-24577032

RESUMEN

The objective of the present study was to estimate the effectiveness and tolerance of propranolol therapy prescribed to the children presenting with vascular hyperplasia of the larynx. The experience with propranolol therapy of 12 patients suffering vascular hyperplasia of the larynx (subfold hemangioma) is analysed. Nine of these children had been given systemic glucocorticoid therapy prior to the present study that failed to produce a clinically significant effect. On the contrary, the treatment with propranolol resulted in a well apparent clinical effect in the form of the marked decrease in the size of subfold hemangioma and the reduction in the degree of laryngeal stenosis from grade 2-3 to 0-1 as early as 10-14 days after the onset of propranolol therapy at a daily dose of 2 mg/kg. None of the patients developed adverse reactions related to the treatment with propranolol. The results of the study indicate that the treatment of vascular hyperplasia, such as subfold hemangioma with the non-selective beta-blocker propranolol is both efficacious and safe for the patients. This gives reason to recommend this therapeutic modality as the first-line treatment of the children starting from the first weeks of life.


Asunto(s)
Glotis , Hemangioma/tratamiento farmacológico , Neoplasias Laríngeas/tratamiento farmacológico , Propranolol/administración & dosificación , Antagonistas Adrenérgicos beta/administración & dosificación , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Resultado del Tratamiento
14.
Eksp Klin Gastroenterol ; (3): 68-71, 2012.
Artículo en Ruso | MEDLINE | ID: mdl-22830227

RESUMEN

The effect of ethanol on the bioamin containing structures of the jejunum and ileum walls at different periods of chronic alcoholic intoxication was investigated. The quantitative description of the catecholamine and serotonin content in the enterocytes of epithelial lining villi, submucosa mast cells, crypt enterocytes and muscle membrane is given for the first time by means of luminescent microscopy and cyto spectrofluorimetry. It was established that in the initial period of chronic alcohol intoxication for 60 days in rats increased serotonin effect on intestinal functional structures was observed. On longer terms there is a disturbance of relationships of biogenic amines and the regulating role of catecholamines starts to prevail.


Asunto(s)
Intoxicación Alcohólica/metabolismo , Intestino Delgado/metabolismo , Neurotransmisores/metabolismo , Intoxicación Alcohólica/patología , Animales , Catecolaminas/metabolismo , Modelos Animales de Enfermedad , Enterocitos/metabolismo , Enterocitos/patología , Mucosa Intestinal/metabolismo , Mucosa Intestinal/patología , Intestino Delgado/patología , Mastocitos/metabolismo , Mastocitos/patología , Microscopía Fluorescente , Ratas , Serotonina/metabolismo , Factores de Tiempo
15.
Nanotechnology ; 23(26): 265402, 2012 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-22699243

RESUMEN

We report on the growth and electro-optical studies of photovoltaic properties of GaAsP nanowires. Low density GaAsP nanowires were grown by Au assisted MOVPE on Si(001) substrates using a two step procedure to form a radial p-n junction. The STEM analyses show that the nanowires have cubic structure with the alloy composition GaAs0.88P0.12 in the nanowire core and GaAs0.76P0.24 in the shell. The nanowire ensembles were processed in the form of sub-millimeter size mesas. The photovoltaic properties were characterized by optical beam induced current (OBIC) and electronic beam induced current (EBIC) maps. Both OBIC and EBIC maps show that the photovoltage is generated by the nanowires; however, a strong signal variation from wire to wire is observed. Only one out of six connected nanowires produce a measurable signal. These strong fluctuations can be tentatively explained by the variation of the resistance of the nanowire-to-substrate connection, which is highly sensitive to the quality of the Si-GaAsP interface. This study demonstrates the importance of the spatially resolved charge collection microscopy techniques for the diagnosis of failures in nanowire photovoltaic devices.

16.
J Environ Radioact ; 109: 1-12, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22541991

RESUMEN

Samples of soil and epigeic lichens were collected from the "Taiga" peaceful nuclear explosion site (61.30°N 56.60°E, the Perm region, Russia) in 2009 and analyzed using high resolution γ-ray spectrometry. For soil samples obtained at six different plots, two products of fission ((137)Cs and (155)Eu), five products of neutron activation ((60)Co, (94)Nb, (152)Eu, (154)Eu, (207)Bi) and (241)Am have been identified and quantified. The maximal activity concentrations of (60)Co, (137)Cs, and (241)Am for the soils samples were measured as 1650, 7100, and 6800 Bq kg(-1) (d.w.), respectively. The deposit of (137)Cs for the top 20 cm of soil on the tested plots at the "Taiga" site ranged from 30 to 1020 kBq m(-2); the maximal value greatly (by almost 3 orders of magnitude) exceeded the regional background (from global fallout) level of 1.4 kBq m(-2). (137)Cs contributes approximately 57% of the total ground inventory of the man-made γ-ray emitters for the six plots tested at the "Taiga" site. The other major radionuclides -(241)Am and (60)Co, constitute around 40%. Such radionuclides as (60)Co, (137)Cs, (241)Am, and (207)Bi have also been determined for the epigeic lichens (genera Cladonia) that colonized certain areas at the ground lip produced by the "Taiga" explosion. Maximal activity concentrations (up to 80 Bq kg(-1) for (60)Co, 580 Bq kg(-1) for (137)Cs, 200 Bq kg(-1) for (241)Am, and 5 Bq kg(-1) for (207)Bi; all are given in terms of d.w.) have been detected for the lower dead section of the organisms. The air kerma rates associated with the anthropogenic sources of gamma radiation have been calculated using the data obtained from the laboratory analysis. For the six plots tested, the kerma rates ranged from 50 to 1200 nGy h(-1); on average, 51% of the dose can be attributed to (137)Cs and 45% to (60)Co. These estimates agree reasonably well with the results of the in situ measurements made during our field survey of the "Taiga" site in August 2009.


Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Rayos gamma , Liberación de Radiactividad Peligrosa , Radioisótopos/análisis , Contaminantes Radiactivos del Suelo/análisis , Federación de Rusia
17.
Nanotechnology ; 23(9): 095602, 2012 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-22322330

RESUMEN

Interesting phenomena during the Au-assisted chemical beam epitaxy of InAs-InSb nanowire heterostructures have been observed and interpreted within the framework of a theoretical model. An unusual, non-monotonous diameter dependence of the InSb nanowire growth rate is demonstrated experimentally within a range of deposition conditions. Such a behavior is explained by competition between the Gibbs-Thomson effect and different diffusion-induced material fluxes. Theoretical fits to the experimental data obtained at different flux pressures of In and Sb precursors allow us to deduce some important kinetic coefficients. Furthermore, we discuss why the InAs nanowire stem forms in the wurtzite phase while the upper InSb part has a pure zinc blende crystal structure. It is hypothesized that the 30° angular rotation of nanowire when passing from InAs to the InSb part is driven by the lowest surface energy of (1100) wurtzite and (110) zinc blende facets.


Asunto(s)
Arsenicales/química , Cristalización/métodos , Oro/química , Indio/química , Modelos Químicos , Nanoestructuras/química , Nanoestructuras/ultraestructura , Nanotecnología/métodos , Arsenicales/efectos de la radiación , Simulación por Computador , Indio/efectos de la radiación , Sustancias Macromoleculares/química , Sustancias Macromoleculares/efectos de la radiación , Ensayo de Materiales , Modelos Moleculares , Conformación Molecular/efectos de la radiación , Nanoestructuras/efectos de la radiación , Tamaño de la Partícula , Propiedades de Superficie/efectos de la radiación
18.
Morfologiia ; 139(2): 59-61, 2011.
Artículo en Ruso | MEDLINE | ID: mdl-21866809

RESUMEN

Using the methods of luminescent microscopy and cytospectrofluorometry, biogenic amine-containing structures were studied in colon of rats subjected to alcohol intoxication of 2, 4 and 6 months' duration. It was demonstrated that 2- and 4-month-long alcohol intoxication of animals resulted in biogenic amine content increase in the mucosal surface epithelium, submucosal mast cells and adrenergic nerve fibers within the connective tissue bands in the muscular tunic. At the same time, 6 month-long intoxication was accompanied by a stabilization of bioamine content at the elevated level.


Asunto(s)
Intoxicación Alcohólica/metabolismo , Aminas Biogénicas/metabolismo , Colon , Etanol/administración & dosificación , Fibras Adrenérgicas/efectos de los fármacos , Fibras Adrenérgicas/metabolismo , Animales , Colon/efectos de los fármacos , Colon/patología , Mastocitos/efectos de los fármacos , Mastocitos/metabolismo , Microscopía Fluorescente , Membrana Mucosa/efectos de los fármacos , Membrana Mucosa/metabolismo , Ratas , Factores de Tiempo
19.
J Environ Radioact ; 102(7): 672-80, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21524834

RESUMEN

In the summer of 2009, we performed a field survey of the "Taiga" peaceful underground nuclear explosion site, the Perm region, Russia (61.30° N, 56.60° E). The explosion was carried out by the USSR in 1971. This paper provides an extended summary of the available published data on the "Taiga" experiment. A detailed description of the site is illustrated by original aerial and ground-level photos. A large artificial lake (700 m long and 350 m wide) currently occupies the central area of the experimental site. The ground lip surrounding the lake is covered by a newly grown mixed forest. In situ measurements, performed in August 2009, revealed elevated levels of the γ-ray dose rate in air on the banks of the lake "Taiga". Two hot spots were detected on the eastern bank of the lake. The excess of the γ-ray radiation is attributable to the man-made radionuclides (60)Co and (137)Cs. The current external γ-ray dose rate to a human from the contaminations associated with the "Taiga" experiment was between 9 and 70 µSv per week. Periodic monitoring the site is recommended.


Asunto(s)
Monitoreo de Radiación , Liberación de Radiactividad Peligrosa , Ecosistema , Explosiones , Federación de Rusia , Árboles , Agua/química
20.
Bull Exp Biol Med ; 150(4): 471-4, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22268046

RESUMEN

The incidence of SLC6A4 gene 5HTTLPR polymorphism alleles was evaluated in 223 male athletes engaged in endurance sports, the results were compared with those in 177 male nonathletes. Association between 5-HTTLPR genotypes and the effect of exhaustive treadmill running on simple and complex visual reactions and critical flicker frequency threshold was studied. We found that the incidence of LL genotype was significantly higher in athletes in comparison to nonathletes; after exercise, the velocity of visual reactions and critical flicker frequency increased; exercise did not change the velocity of complex visual reaction in LL-carriers, and increased it in SS-carriers. We conclude that exhausting treadmill running leads to facilitation sensory information processing in athletes and that SS-carriers are more susceptible to the effect of exhaustive treadmill running than LL-carriers.


Asunto(s)
Atletas , Ejercicio Físico/fisiología , Tiempo de Reacción/genética , Proteínas de Transporte de Serotonina en la Membrana Plasmática/genética , Adulto , Genotipo , Humanos , Masculino , Resistencia Física/genética , Polimorfismo de Nucleótido Simple , Adulto Joven
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